Healthcare in Transition Blog 2019-07-09T10:01:57+00:00

Dr. Brian Casull’s Blog


Healthcare is not a “system” in the United States. Rather it is like a game of baseball where your perceived and actual coverage is determined in large part by where you sit in the ballpark of healthcare.

basball park - where is your healthcare seat

Read my posts below to discover … learn … realize … understand what you can do about
American Healthcare in Transition.

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Is Medicare For All The Best Solution?

What is the attitude on proposals to expand Medicare and Medicaid? Here is what the CBO is saying currently about MEDICARE FOR ALL: [1] “Some Members of Congress have proposed establishing a single-payer health care system in the United States to ensure that virtually everyone has health insurance. In a typical single-payer system, people enroll in a health plan operated by the government, and the receipts and expenditures associated with the plan appear in the government’s budget. This report [...]

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Healthcare 2020 – How Do We Get There From Here?

In the ever-changing healthcare system, the question becomes:  "How do we get there from here?"  Follow along with me ... on the Yellow Brick Road ... IMPACT OF HIGH HEALTH CARE COST Even if you still have coverage, three percent (employer based coverage) to 8 % (Medicaid/other public insurance) went without needed care because of cost. While another 6-9% postponed seeking care. (employer based/Public based insurance). Both groups ended up with no usual source of care (12%).[1] REASONS [...]

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Vlog #6 – Healthcare 2020 – What Should be Done?

In this vlog we explore the various models and options for the future of healthcare in America. The ACA is still in place until 2019 when the mandate to have insurance goes away, thanks to the 2017 Tax Bill. Appeals have begun. The Supreme Court will become involved. Health Care will continue to be a hot topic in the 2020 Presidential Election. What should be done?  Watch my video to find out my point of view ... [...]

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How Are We Going To Debate Healthcare Reform?

No one system escapes criticism. It appears that there is good, bad, and ugly to be found in any system you choose. For sure there would be winners and losers.  THE PRIME DIRECTIVE: -ELIMINATE VARIABILITY One Operations Manual One Policy Manual One Reimbursement Manual USE THE HEIRARCHY OF EVIDENCE[1] GRADING 1A-Strong recommendation. High quality evidence. Strong recommendation can apply to most patients in most circumstances without reservation 1B - Strong recommendation. Moderate quality evidence. Strong recommendation, likely to apply [...]

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Vlog #5 – Return on Investment, Part 3

Return on Investment (ROI) is, basically, what you are getting in return for what you are spending. Or ... "How much bang for the buck." In the current American Healthcare "System," unlike traditional return-on-investment models, benefits are frequently gained from cost avoidance, rather than from revenue enhancement activities.

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How Do The Current Universal Healthcare Models Rank?

When comparing data from all the major healthcare models in other countries, how do these models rank?  If you crunch the numbers obtained from the number crunchers, simply stated: All the other models of health care have a greater ROI than our current model. If we use the data from a very complete and thorough comparison of existing health plan models not being practiced in the United States, here is what that data shows us.[1] The numbers represent where [...]

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Vlog #4 – Return on Investment, Part 2

The For-Profit Health Care System is broken because there is little to no RETURN ON INVESTMENT. We spend more than any other developed nation on Earth and rank in the lowest tiers when health outcomes are measured.

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A Look at Other Healthcare Delivery Models

If competition may not be the best way to approach our American healthcare in transition, what would? Perhaps we need to take a look at other healthcare delivery models besides our current Multi-Payer model?[1] And what type of scorecard should we use? Perhaps RETURN ON INVESTMENT (ROI) might be a better way to approach our choices. ROI has four main basis of competition discussed previously:  PRICE (COST)  CONSUMER CHOICE  ACCESS AND STYLE OF CARE  QUALITY OF CARE It also [...]

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Vlog #3 – Return on Investments

As you have already learned in my first 2 vlogs, our current healthcare model is broken, driven by profit rather than the health and care of the patients.  At the end of the day -- it all comes down to cost.  And currently this cost comes out of your pocket. How can we fix the healthcare model in our country?  Listen on ...

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So, what should our FOURTH PARTY DECISION MAKERS do?

Let us address a common “wisdom” being espoused by decision makers of the Republican persuasion in Congress. Greater transparency More choice for consumers Competition to decrease cost  WHAT BASIS COMPETITION?[1] What do these product lines look like?[2] 1:  PRICE-The primary consideration Why are we concerned about competition based on PRICE? The raising cost of health care, currently $3.65 trillion dollars in 2018 or roughly $11,212 per capita.[3] And how does that impact the SECOND PARTY or Health care Consumer? 2:  [...]

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